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Nebraska rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $14.13 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.00 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $15.85 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $16.98 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.61 / $13.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.20 / $33.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.79 / $14.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.50 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $6.17 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.31 / $10.47